Healthcare Provider Details

I. General information

NPI: 1346551140
Provider Name (Legal Business Name): NJA NEWARK BETH ISRAEL ANESTHESIA ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 06/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 LYONS AVE
NEWARK NJ
07112-2027
US

IV. Provider business mailing address

25B VREELAND RD SUITE 110
FLORHAM PARK NJ
07932-1900
US

V. Phone/Fax

Practice location:
  • Phone: 973-660-9334
  • Fax: 973-660-9779
Mailing address:
  • Phone: 973-660-9337
  • Fax: 973-660-9779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: KEVIN M MORRIS
Title or Position: MD/OWNER
Credential: MD
Phone: 973-660-9334